Keywords
Enamel microabrasion
Tooth bleaching
Tooth demineralization
Metrica
How to Cite
Abstract
The use of fixed orthodontic appliances by conventional technique favors biofilm accumulation in adjacent brackets areas and, consequently, white spot lesions (WSL) development, diagnosed as active tooth enamel caries. Clinically, these lesions appear whitish and opaque, without superficial shine, and can affect aesthetics and self-esteem. Aim: The present study aimed to present and discuss the preventive and aesthetic treatment approach for a young patient with multiple WSL diagnosed as dental caries lesions, developed during orthodontic treatment with fixed appliance. Methods: An 18-year-old female patient was referred to the University Dental Clinic of the State University of Londrina for management of WSL located on the buccal enamel surfaces of the upper and lower teeth. Clinical and radiographic examinations revealed generalized active WSL on the buccal surfaces of both arches. After diagnosis and treatment planning, a combined approach was implemented, including mechanical biofilm control, remineralization therapy, tooth whitening, and enamel microabrasion. Results: The proposed therapeutic sequence yielded favorable outcomes, demonstrating that a conservative and effective clinical approach can be successfully applied for managing WSL in young patients after orthodontic treatment. Conclusion: The combined use of remineralization techniques, bleaching, and enamel microabrasion proved to be a viable, safe, minimally invasive, and cost-effective strategy to reestablish oral health and dental esthetics.
References
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Copyright (c) 2026 André Brunetto Bruniera, Lucas Fernando Oliveira Tomáz Ferraresso, Fernanda Tramontin Aguiar, Paulo Eduardo Damasceno Melo, Márcio Grama Hoeppner